OrganizationActive
Wentworth Street Dental Associates, Inc
NPI 1598088312 · Health Maintenance Organization · Charleston, SC
Provider details
- NPI number
- 1598088312
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Rogers Reeves, C.e.o.(843) 577-2898
- License
- 1547 (SC)
Specialties & taxonomies
Managed Care Organizations
Practice location
159 Wentworth St
Charleston, SC 29401-6715
Phone: (843) 577-2898
Fax: (843) 577-4464
Approximate (ZIP-level) locationGet directions
Mailing address
159 Wentworth St
Charleston, SC 29401-6715
Registry dates
- Enumerated
- 2010-03-08
- Last updated
- 2010-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.